title: [Cardiac tamponade and myocarditis in Churg-Strauss syndrome].
abstract: BACKGROUND
  The successive occurrence of pericardial tamponade and myocarditis during a Churg-Strauss syndrome is exceptionally described. We report a patient in whom pericardial tamponade and myocarditis were the presenting manifestation of a Churg-Strauss syndrome.
  
  
  METHODS
  A 58-year-old woman was admitted because of alteration of the clinical status with eosinophilia. One month ago, she was hospitalized for a pericardial tamponade treated by pericardial drainage. Acute myocarditis was diagnosed on chest pain during the second hospitalization. The etiologic inquiry ended in the diagnosis of Churg-Strauss complicated with a double cardiac involvement. A good response of clinical and biological anomalies was obtained after corticosteroid and immunosuppressive treatment.
  
  
  CONCLUSIONS
  Isolated or multiple involvements of cardiac tunics should lead to make diagnosis of systemic vasculitis. A complete initial assessment and a close observation of the patients followed for Churg-Strauss syndrome is imperative to detect a cardiac achievement and set up an early treatment.
authors.affiliation: Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisie. Electronic address: liliabaili@hotmail.fr.
authors.forename: L
authors.initials: L
authors.lastname: Baili
authors.affiliation: Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisie.
authors.forename: Z
authors.initials: Z
authors.lastname: Aydi
authors.affiliation: Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisie.
authors.forename: G
authors.initials: G
authors.lastname: Soussi
authors.affiliation: Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisie.
authors.forename: B
authors.initials: B
authors.lastname: Ben Dhaou B
authors.affiliation: Service d'imagerie médicale, hôpital Abderrahmane Mami, 2083 Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Zidi
authors.affiliation: Service de pneumologie, hôpital Abderrahmen Mami, pavillon B, 2083 Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Berraies
authors.affiliation: Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisie.
authors.forename: F
authors.initials: F
authors.lastname: Boussema
authors.affiliation: Service de cardiologie, hôpital Habib Thameur, 1008 Montfleury, Tunis, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Kammoun
authors.affiliation: Service de pneumologie, hôpital Abderrahmen Mami, pavillon B, 2083 Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Hamzaoui
authors.affiliation: Service de cardiologie, hôpital Habib Thameur, 1008 Montfleury, Tunis, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Kraiem
authors.affiliation: Service d'imagerie médicale, hôpital Abderrahmane Mami, 2083 Ariana, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Ben Miled M'rad
authors.affiliation: Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisie.
authors.forename: L
authors.initials: L
authors.lastname: Rokbani
mesh_terms: D002305:Cardiac Tamponade / Q000209:etiology*; D015267:Churg-Strauss Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology*
keywords: Cardiactamponade; Churg-Strauss Syndrome; Eosinophilia; Hyperéosinophilie; Myocardite; Myocarditis; Pericarditis; Péricardite; Syndrome de Churg-Strauss; Systemic Vasculitis; Tamponnade; Vascularite systémique